CASUALTY
ASSISTANCE GUIDE
For The
CASUALTY
ASSISTANCE
OFFICER
December 2000
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Casualty Assistance Officer Guide
TABLE OF CONTENTS
Title
Page
1. Casualty Assistance Guide ........................................................................................2
2. Responding to the Media .........................................................................................14
3. Casualty Assistance Directory..................................................................................15
4. General Information Benefits and Entitlements........................................................19
5. Handout (Important Documents)..............................................................................23
6. Sample of a Disposition of Remains Information Letter (CONUS)...........................24
7. Sample of a Disposition of Remains Information Letter (OCONUS)........................26
8. DA Form 7302-R (Disposition of Remains Statement) ............................................28
9. Sample Request for Investigative Reports ..............................................................29
10. DA Form 2204-R (Casualty Assistance Report) .................................................…33
11. Forms Preparation and Assistance........................................................................34
Benefits and Entitlements Charts
12. Active Duty (Available Benefits and Entitlements)................................................36
13. Retiree (Available Benefits and Entitlements).......................................................41
14. Dependents (Available Benefits and Entitlements)...............................................46
15. Entitlement to Pay and Allowances While in a Missing Status…………………….47
16. World Wide Web Links…………………………………………………………………52
17. Casualty Assistance Officer Briefing Checklist.................................................….55
2
CASUALTY ASSISTANCE GUIDE
for the
CASUALTY ASSISTANCE OFFICER
1. The Selection
You have been selected by your installation commander to perform casualty assistance
duties for_____________________________________________________________.
2. The Preparation
You are about to embark on what will be one of the toughest and most sensitive
missions you will ever be called upon to perform during your military career. You are
charged by the Secretary of the Army to render all reasonable assistance needed to
settle the personal affairs of a deceased soldier. These duties may included assisting
the next of kin (NOK) in making all necessary decisions to arrange for handling the
remains, funeral arrangements, collecting death gratuity, filing for benefits and
entitlements, and clearing post quarters. Your duties as a Casualty Assistance Officer
(CAO) have priority over all other duties. This guide will provide information to assist
you in preparation for your CAO duties and hopefully ease some of the anxiety often
experienced by individuals when called upon to perform this sensitive task. Pursue
your duties with a keen sense of urgency, always keeping the thoughts, feelings, and
position of the next of kin (NOK) uppermost in mind. You must convey in every action
and deed, the sincere concern of the United States Army. Being prepared, sincere and
alert to the needs of the NOK will reduce some of the stress that is normal under these
circumstances. There is no way to eliminate the pain the survivor feels. It is a natural
part of the grieving process. Don't become involved in the survivor's personal grieving.
Remember, the survivor's loved one died serving our country and they deserve support
from the Army. Treat them as you would want your own family treated. There is more
to casualty assistance than “paperwork”, take care of the “hearts of the family”. They
are your most important duty. Give them your full attention. You are often the
survivor's last link to the Army. Their enduring view of the Army is based on your
success. Remember, nothing can substitute for common sense, good judgment and
sensitivity in performing your duties as a CAO. Remember, experienced CAO's are a
valuable resource. If you know someone that performed these duties call them, and
ask them to share their experiences. Finally, a quote from General George C. Marshall,
“There is no more effective way of creating bitter enemies of the Army than by
failing to do everything we can possibly do in a time of breavement, nor is there a
more effective way of making friends for the Army than by showing We are
personally interested in every casualty which occurs”. In preparation for your CAO
duties you should:
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a. Review Chapter 6, AR 600-8-1, Casualty Operations, Assistance and Insurance.
b. Review Chapters 4, 13, 14, 15, AR 638-2, Care and Disposition of Remains and
Disposition of Personal Effects.
c. Learn as much as you can about the casualty, the NOK, and the circumstances
surrounding the incident. The Casualty Area Command (CAC) will provide the name,
relationship and address of the NOK you will be contacting and any special conditions
you should be aware of (if known).
d. Verify the status of the remains. Occasionally, remains are unrecoverable or are
not readily accessible. Be alert to this concern and be prepared to answer questions
with care. Also, be prepared to answer questions about the condition of the remains.
e. Ensure you obtain the name and telephone numbers of the local hospital, local
ambulance service, and fire department rescue squad in case you need them.
f. There are 13 casualty assistance video's available for viewing, however, the
following are recommended for viewing before your first visit:
(1) Casualty Assistance Officer Orientation (18 min).
(2) Assisting Overdependent Survivor (10 min).
(3) Survivor Notification and Assistance (10 min).
g. Prepare a DA Form 5516 (Casualty Assistance Referral Card) to present to the
PNOK on your first visit.
h. Review DA Form 2204-R (Casualty Assistance Report). Your completed report
will be due to your CAC, 60 days after your first visit.
i. Obtain a copy of DA Pam 608-4 (A Guide for the Survivors of Deceased Army
Members), and DA Pam 600-5 (Handbook for Retiring Soldiers and their Families) (for
retirees only) to furnish the survivors.
j. Talk to the Retirement Services Officer (RSO). The RSO is knowledgeable about
all survivor benefits and procedures relating to such issues.
k. Check with the CAC to find out what military honors are available (full military or
simple honors). The NOK will surely ask.
l. Be prepared to answer questions concerning the disposition and transportation of
the soldier's property. These questions should be referred to the CAC for an
explanation of the summary court procedures and transportation entitlement.
m. REMEMBER, DON'T PROMISE ANYTHING, UNLESS YOU ARE ABSOLUTELY
CERTAIN IT CAN BE DONE!
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3. Establishing The Initial Contact
a. When notification has been completed, the casualty notification officer (CNO) will
telephone the Casualty Area Command from the NOK's area to advise of the
completed action, provide time of notification, NOK's telephone number, verification of
address, and any unusual events or comments. You'll be better able to cope with the
initial contact if you contact the notifier who can provide you with valuable information
on the reaction of the family, etc. Get a copy of the CNO's Record of Casualty
Notification Actions.
b. Telephonically establish contact with the PNOK within 24 hours after the
notification; do not delay this call (they will be expecting your call). CAUTION: NEVER
state to the PNOK that you have been appointed to assist them, they should feel that
you genuinely want to help. Identify yourself to the PNOK and the fact that you will be
assisting; for example, "Mrs. Smith, I'm Major John Jones, from 3d Battalion, 71st
Field Artillery, Fort Sill, Oklahoma; please accept my deepest condolences on the
death of your husband, Master Sergeant Sam Smith. I'm your casualty assistance
officer and will be assisting you during this period". Tactfully explain there are, or
shortly will be, a number of matters that will require their personal attention and
decision. During the initial contact, find out if there are any immediate problems,
confirm addresses and offer to arrange a casualty assistance visit at the earliest
possible time at a location most convenient for them. Advise the person authorized to
direct disposition (PADD) that the Army has numerous mortuary benefits available and
they should delay making any decisions on care and preparation until they have been
fully briefed by the mortuary representative or you, the CAO.
4. The First Visit
a. Your first visit with the NOK may be the most difficult. Remember, you represent
the Secretary of the Army, and you must be the epitome of a professional soldier in
conduct and appearance. Ensure your association with the NOK is kept on a
professional level at all times. Don't become personally involved, seek favors, borrow
or loan money to the NOK. Be willing to do everything you can within regulation. Do
not make promises you can't keep. When you are uncertain about the answer to a
question, say "I don't know, but I will find out". Collect factual information before you
respond. Always follow through.
(1) The role you play will be determined by the PNOK. Take your cues from the
PNOK as to what they expect from you. Begin by determining the immediate needs or
problems they are facing. If financial assistance is needed make arrangements to visit
with the Army Emergency Relief (AER) or the American Red Cross.
5
(2) In this time of extreme emotion, some surviving spouses may transfer, though
subconsciously, dependency to you, the CAO as a surrogate spouse. As the CAO, you
must keep your relationship with the family on a professional basis only. Do not allow
yourself to become personally involved.
(3) Although anger is more likely to be directed at the notifier, be prepared, as some
may be directed at you, the CAO. The PNOK's anger may take the form of verbal or
physical abuse. Survivors are angry at their loss. They may strike out by directing their
feelings toward you as the representative of the Army.
b. On your first visit, the complete Class A uniform will be worn and also for the
funeral service. Your uniform should be perfect. On subsequent visits, the Class B
uniform may be worn.
c. The first visit should be brief. Upon arrival, if a number of persons are present with
the PNOK, ask to discuss matters in private. In this way, you will not have to deal with
numerous persons at the same time.
d. Normally, the CAC will complete and provide DA Form 7302-R (Disposition of
Remains Statement) to the CAO to obtain disposition instructions from the PADD. The
CAO may be designated to inform and complete the DA Form 7302-R with the PADD.
In some cases it may be more appropriate to advise the PADD that a mortuary affairs
representative will contact them in order to explain the dispositions options. Every effort
must be made to explain disposition instructions to the PADD before contacting a
funeral home. Before the PADD signs the DA Form 7302-R, ensure the authorized
allowance amounts have been inserted in the appropriate option.
e. Verify NOK divorce data, if applicable, to include case number, court, judge, date,
custody information, grounds, and where the divorce took place (city, county and state).
Ensure verification is obtained from official documents. Be prepared to ask for copies
for the CAC and DA.
f. Obtain or verify the 45-day address of the PNOK. Ensure and verify that all
children have been reported.
g. Provide the PNOK a completed DA Form 5516.
h. One of the first questions the NOK will ask will concern the arrival of the remains.
In some instances, the return of remains may be a lengthy process. The NOK may be
very demanding during this period of time. There is an overwhelming need to have the
deceased come home. Provide as much information as possible to explain the
process. This will relieve some anxiety. The following will assist you in understanding
their concerns:
(1) For some survivors, there is an overwhelming need to have the remains of their
loved one returned. The longer the delay, the more frantic they may become and the
more prolonged their grief will be. The return of the remains brings a type of closure
6
which facilitates moving ahead into the future. It is difficult for them to begin the journey
until the remains are home.
(2) In some cases, there may be no remains. These survivors often have difficulty
accepting the finality of death. They may hold a ray of hope that a mistake was made
and the waiting continues.
(3) The viewing of the remains, for many people, brings an acceptance of death, an
inner peace, and it can be a way to say goodbye to a loved one. Other individuals may
have no desire to view the remains. The family should be allowed to follow their cultural
or ethnic tradition and their personal beliefs. In this way they will complete the process
of burial and allow the closure necessary to accept that death has occurred.
(4) The Army normally provides the family with information concerning the condition
of the remains. The Army's recommendation that remains are not viewable is an
assessment that the condition of the remains is not suitable for public viewing. This
determination is not intended as a prohibition to the family viewing the remains.
(5) The NOK might ask specific questions concerning the casualty incident,
questions for which you may not have answers. Advise the NOK that information may
be obtained through the investigative process and will be available upon completion of
the investigation. Samples of request for copies of reports/investigations are on page
20 and 21.
i. Inform the PNOK of their entitlement to a death gratuity. The death gratuity will
normally be paid within 72 hours after the notification of death. Payment is made to the
legal spouse; if none, to the children in equal shares; if none, to the parent(s) if
designated on the DD Form 93. Since you are most likely to deliver the death gratuity
check, you may encounter hostility or rejection when you present the recipient the death
gratuity check. If this happens, inform the NOK that this is in no way intended as
compensation. The death gratuity payment is money to assist them until benefits
begin.
j. Provide the PNOK a copy of DA Pam 608-4 (A Guide for the Survivors of
Deceased Army Members) and/or a copy of DA Pam 600-5 (Handbook for Retiring
Soldiers and Their Families) for retirees.
k. The CAC will advise you when to request disposition instructions from the PADD.
Disposition instructions should not be requested until the remains are recovered and
identified. Normally, remains are recovered and identified immediately after death.
However, in some cases, recovery and identification may not be verified for several
days.
l. Before departing, make arrangements to meet with the PNOK the next day or soon
after at a designated time and place.
m. Begin recording all actions on the DA Form 2204-R.
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5. Disposition of Remains/Funeral Arrangements
a. Ensure you understand the desires of the PADD. Often the PADD's instructions
are not always clear because of disagreements between parents and other NOK,
divorced parents, mistresses with illegitimate children, foster and biological parents, and
siblings. As the official representative of the Army, you must act as the link between
the PADD and the Army.
b. As mentioned earlier, the CAC is responsible for obtaining the disposition of
remains instructions. However, normally you as the CAO will actually obtain the
disposition instructions from the PADD. If so, ensure you are properly briefed by the
CAC. You must fully understand the disposition options prior to assisting the PADD.
The decisions will be difficult for the PADD, and they may want to put them off.
Encourage the PADD to decide as soon as possible, so as not to delay the shipment of
the remains. The enclosed disposition of remains information letter will assist in:
(1) counseling the PADD about entitlements regarding preparation and disposition
of the remains.
(2) reimbursement of incidental burial expenses.
(3) ensuring the PADD understands that financial assistance provided will help
defray some, but not necessarily all of the expenses when making funeral
arrangements.
(4) providing information to the PADD regarding burial in a National Cemetery,
however, do not commit the government to burial in any cemetery until confirmation of
gravesite availability. Burial in a private or government cemetery is a decision the
PADD must make.
(5) selection of a funeral director, (don't recommend one director over another).
You cannot suggest a specific funeral home, however, you can present a listing of all
reputable funeral homes in the area.
c. Assist the PADD in completing the DA Form 7302-R. Before submitting the
statement ensure the funeral director has agreed with the PADD to furnish his or her
service and the cemetery director has agreed to the burial.
d. Do everything possible to keep the PADD from scheduling the funeral until you
have a confirmed shipping date for the return of remains or the remains are in the
receiving funeral home. Finally, ask the PADD what type of funeral they desire military or civilian.
6. Waiting for the Remains
a. Ensure you visit the PADD regularly to keep them informed while awaiting the
arrival of the remains. You should check on the status of the remains each day with the
8
CAC and the mortuary affairs representative. Preliminary funeral plans can be made,
but, don't set a date for the funeral until the remains have arrived.
b. You should make arrangements to accompany the funeral director (time and
distance permitting) to meet the remains. When the remains have arrived at the funeral
home, make arrangements for the PADD to visit the remains when the funeral director
is ready. You should ensure a flag was sent by the preparing CAC with the remains.
Also, ensure the CAC prepares a flag case, to be presented at the funeral service
(active duty deaths only).
c. Army funded travel to attend the funeral for current active duty deaths is restricted
by law to the surviving spouse and children. Parents are excluded from this benefit
unless the soldier is not married and childless. Contact the CAC for travel benefits for
funerals involving group remains that can not be individually identified or remains of
soldiers killed in the Vietnam War.
7. The Funeral
a. Your specific involvement in the funeral will depend on the desires of the PADD.
Unless the PADD desires otherwise, you will attend memorial services, funeral service,
and or interment services as the representative of the Secretary of the Army. At the
earliest opportunity, review the sequence of events for the funeral service. Keep in
mind the stress the surviving family members are experiencing. When reviewing the
sequence of events for the funeral service, there may be certain items that may have to
be repeated, be patient. Well planned services will be noticed and appreciated by the
PADD.
b. If the funeral is to be with full military honors, check on the burial detail
immediately prior to the funeral and monitor the details performance during the
services. Note anything unusual and pass your comments to the CAC. You should
coordinate closely to ensure key tasks are monitored. A flag to drape the casket should
be sent with the remains. Additional flags authorized by law will be provided by the
burial honors team. Do not offer or promise flags or cases to any one other than the
surviving spouse or biological parents of the deceased.
c. Presenting the flag:
(1) Coordinate with the CAC providing the burial honors team to determine your
role, if any, in the presentation of the flag to the surviving spouse and biological
parents.
(2) Should the PADD request that the CAO present the flag, use one of the
following presentations:
a. "On behalf of the President of the United States and the people of a
grateful nation, may I present this flag as a token of appreciation for the
honorable and faithful service your loved one rendered this nation."
9
b. "This flag is presented on behalf of a grateful nation as a token of
appreciation for the honorable and faithful service rendered by your loved one."
d. The Gold Star Lapel Button or the Lapel Button should be presented to the NOK.
You may want to present the button to the NOK just prior to or shortly after the funeral.
Use good judgement when making the presentation. Do not force the buttons on NOK
that may be angry or bitter, they can always apply for the lapel button at a later date.
See Appendix L, AR 600-8-1.
8. After the Funeral
a. After the funeral service is completed, you should be ready to assist the PNOK in
making application for benefits, and entitlements, both military and civilian. The DA
Form 2204-R will serve as a checklist to assist in filing for claims. CAUTION: Do not
quote exact sums available from Veterans Affairs (VA) or Social Security. Be prepared
and ensure you understand benefits and entitlements from Defense Finance
Accounting System (DFAS), VA, Social Security and the US Army. Up to this time you
have refrained from discussing rights, benefits, or entitlements except where they
pertained to the death gratuity and the funeral. These subjects were avoided because
the PNOK is usually not in a receptive frame of mind for such matters until after the
funeral.
b. Tragedy Assistance Program for Survivors, INC. (TAPS): Where can the NOK
go for grief assistance and support? There are many organizations that offer
assistance, however, TAPS, Inc., is a national non-profit organization, providing FREE
services to those impacted by the loss of a soldier while on active duty. TAPS services
include a peer support network, grief and trauma counseling referral, an annual military
survivor seminar, a quarterly newsletter, and a case worker assistance program. They
also provide financial planning information and critical incident stress management
through a network of experienced case workers. These services are available 24 hours
a day to help survivors cope with the sudden loss of a loved one and they are available
to assist the CAO, if needed. Give the NOK a copy of the TAPS brochure explaining
the services that TAPS, Inc., provides. TAPS can be contacted at their toll free
telephone numbers - 1-800-959-TAPS or 1-800-368-TAPS with questions regarding
grief assistance. TAPS also has a WEB page which contains helpful information on
grief assistance, their WEB page is: www.taps.org .
9. The First Visit After The Funeral
a. Unless you have maintained close contact with the PNOK after the funeral,
telephone the PNOK and make an appointment to visit within 48 hours. Inform the
PNOK of the purpose of the visit and briefly go over what you will be discussing.
Encourage the PNOK to review DA Pamphlet 608-4 and/or DA Pamphlet 600-5 (for
10
retirees) that was left on a previous visit. Although the PNOK may indicate an
understanding of benefits and entitlements, the use of the DA Pamphlets will help the
PNOK remember topics that were discussed.
b. On your first visit after the funeral you may notice a distinct change in the PNOK's
attitude. Although they may show some concern, their grief will have subsided
somewhat and they will show an interest in what is to come. Remember, grief is an
intense emotion. The PNOK may seem alert and aware however, they can loose
composure quite suddenly. Take your time and allow them to regain their composure,
then continue your presentation.
10. The Application for Benefits/Entitlements
Informing the PNOK about benefits, and entitlements will help to ease some fears and
be a source of comfort. Although, informing the PNOK is important, you the "CAO"
must follow through to ensure the benefits are received. Your duty as the CAO officially
ends as a primary duty when applications for benefits are submitted. However, you will
maintain contact with the PNOK until all entitlements have begun. By checking with the
PNOK, you not only reaffirm your concern, but you can also identify potential problems
to the CAC.
11. The Follow-Up Visits with the PNOK
a. Upon application for all benefits and entitlements complete the DA Form 2204-R
and forward to the CAC as soon as possible, but not later than 60 days after case
assignment. Submission of the DA Form 2204-R does not relieve you of the
responsibility of following through on any matter not completed or for providing further
assistance as requested.
b. When visiting the PNOK, if you are informed that benefits are not in the expected
amount, assist the PNOK, write a letter to the agency concerned. Use the PNOK's
return address on all correspondence.
c. Inform the PNOK of, and, if they so desire, assist the PNOK in obtaining a copy of
any fatality or investigative report pertaining to the death of the soldier. Samples of
requests are on pages 27,28,29, and 30.
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12. Fatal Training Accidents
The Army is a family of dedicated men and women who make sacrifices every day to
protect the freedoms and values we all cherish. When a soldier dies in a training
accident, the Army leadership wants to provide a thorough explanation of releasable
investigative results of fatal training accidents to family members of a deceased soldier.
The intent of this initiative is to ensure the family members of a deceased soldier
understand the circumstances surrounding the soldier’s death, are reassured of the
Army’s concern regarding the tragedy, and sense the compassion of the soldier’s
leaders.
a. The Chief, DA Casualty Operations Division (CH, DA COD) will inform the CAO
when the Army is prepared to discuss the results of the investigations. The CAO will
offer the NOK the opportunity to receive a presentation concerning the investigative
results.
b. The CH, DA COD will prepare a “Statement of Acceptance or Declination” that the
CAO will present to the family member at time of the offer. The family member will
officially accept/decline, sign and date the statement. The CAO will fax a copy to CH,
DA COD, at (703) 325-3288.
(1) If accepted, the CAO will schedule the date/time/place with the family member
and coordinate with CH, DA COD.
(2) If declined, mission complete, no further action required from the CAO once the
declination statement is faxed to CH, DA COD.
c. For accepted presentations the CAO primary responsibilities in preparation will be:
(1) Recommend a hotel for the briefing team.
(2) Arrange transportation for the briefing team to and from the presentation site.
(3) Attend the family presentation and take notes during the presentation.
(4) Facilitate subsequent receipt of a copy of the Collateral Report for the NOK if
not available on the day of the presentation.
d. In preparing for the presentation, the CAO will inform the CH, DA COD of the
NOK’s emotional climate, specifically anything that may be of interest to the breifing
officer, or anything that would create questions or concerns that the breifing officer may
need to address.
e. The CAO will obtain a roster of all attendees the family intends to invite to the
presentation. The roster will list names and relationship of all personnel and will be
faxed to Ch, DA COD, no later than 3 days prior to the presentation date.
12
13. The Final Comments
a. This guide is not intended to replace or circumvent existing regulations. However,
this guide should serve as a convenient tool in facilitating casualty assistance.
b. It is understandable that, for both the "first time" and the "experienced” casualty
assistance officer, there will be a certain degree of reluctance and anxiety. Your
anxiety can be somewhat reduced by being well prepared, maintaining very close
communication with the CAC and the mortuary officer, and as earlier mentioned, use
common sense and good judgment.
c. Although your actions are complete at this point, ensure the PNOK is furnished
complete telephone numbers for the CAC and knows where to go for assistance should
further service be required.
14. SPECIAL SECTION – Performing Duties as a CAO for the NOK of DUSTWUN
(Duty Status Whereabouts Unknown) Missing (Missing in Action, Detained,
Beleaguered, Besieged, or Captured Personnel)
The purpose of this special section is to ensure that any member of the US Army (and
any Department of the Army civilian employee or contractor employee who serves with
or accompanies the US Army in the field under orders) who becomes missing or
unaccounted for is ultimately accounted for. This section is to ensure that the NOK of
these personnel are provided casualty assistance. Serving, as a CAO will not be an
easy task during the time an individual is missing or captured. The uncertainty of a
person’s fate and the seemingly endless wait for some word of the missing or captured
person may become almost unbearable for the NOK. Assistance to the NOK of missing
or captured person’s will help lessen the burden on the family members at a very
stressful time. Remember you, the CAO, are charged by the Secretary of the Army to
assist the NOK in every way possible during the time a soldier is missing or captured.
The duties and responsibilities of providing assistance to the NOK are time consuming
and involved. Although “missing status” is the term generally used, a missing person
may actually be one who is missing, missing in action, interned in a foreign country,
captured, beleaguered, besieged by a hostile force, or detained in a foreign country
against his or her will. You must prepare yourself for instantaneous media coverage on
high visibility cases. Believe in this – Your CAO duties will have a significant impact
on the image of the US Army. In providing support, the CAO willa. Ensure you review Section IV and V, Chapter 6, AR 600-8-1.
b. Review the insert “Responding to the Media”.
c. You must be readily available for assistance to the NOK.
13
d. When notification has been completed, telephonically establish contact with the
NOK within 24 hours after the notification; do not delay this call (they will be expecting
your call). If you were not the CNO, you will be better able to cope with the initial
contact if you communicate with the CNO who can provide you with valuable
information on any unusual events or comments and the reaction of the family. Know
exactly what was said in the text of the casualty report.
e. Be prepared to answer questions and concerns of the NOK and medial. Provide
daily reports on the questions and concerns of the NOK to the local commander, CAC,
and Department of the Army.
f. The first visit will be the most difficult. Remember, you represent the Secretary of
the Army, and you must be the epitome of a professional soldier in conduct and
appearance. Ensure your association with the NOK is kept on a professional level at all
times. Don’t become personally involved, seek favors, borrow or loan money to the
NOK. Be willing to do everything you can within regulation. Do not make promises you
can’t keep. When you are uncertain about the answer to a question, say “I don’t
know, but I will find out”. Collect factual information before you respond. Always
follow through. The NOK will have numerous questions and concerns. Remember they
are watching the television also.
g. Be prepared for instantaneous media coverage on these high visibility cases and
concerns of the chain of command from the bottom to the top. Prepare to be
approached by local and national news media representatives seeking interviews.
h. Coordinate with the CAC to have a representative from the installation PAO
accompany you on the initial visit whenever possible for medial coverage.
i. Coordinate with the CAC to provide the NOK with a cellular telephone, and one for
you whenever possible. In these high visibility cases, the cellular telephone can be very
useful for the NOK . One advantage is that no one knows the cellular phone number
but you and the NOK. The cellular telephone will allow you and the NOK to get more
information faster over the telephone. Whether your duty takes you around the corner,
across the country or all over the world, the telephone is your lifeline for
communications.
j. You will need to prepare yourself and the NOK to receive numerous telephone calls
from representatives of the media (local, national and international), immediate
relatives, Very Important People (VIP), ie., member of the United States Congress
and/or their staffs, state and local public officials and/or their staffs, White House staff
and the White House, and family members of other soldiers also carried in a casualty
status.
k. Coordinate with the CAC and installation information technician for access to a
computer for temporary installation at the NOK residence to assist with the media and
preparing daily update reports to the CAC and Department of the Army. Be prepared
14
for local government officials for their questions and assistance. The local Telephone
Company may want to participate in assistance and in many instances will assist with
the installation of a phone line for communication and e-mail capabilities.
l. Coordinate with the local police or sheriff’s department for assistance if needed.
15
RESPONDING TO THE MEDIA
Casualty Assistance Officers (CAO) assigned to support family members of soldiers
may find themselves and/or family members they are assigned to assist approached by
local and national news media representatives seeking interviews. Here are some
suggestions to help, should this situation arise:
If approached by the media and you choose not to participate in the interview, ensure
you refer the reporter to the local installation Public Affairs Office (PAO). If you choose
to respond to media questions, discuss only your role as a CAO, i.e., that you are there
to assist the next of kin (NOK); you may explain what your duties in this capacity
include.
Avoid discussion of the soldier's cause of death or the circumstances surrounding the
death. That is a matter between the Army and the NOK. If a reporter asks you to
arrange an interview with a family member or asks to obtain information from a family
member, offer to take the reporter's name, organization and telephone number.
Explain that you will pass the request to the family member but that any communication
will be solely the option of the NOK. Under no circumstances should you make any
guarantees to provide media access to family members; protection of the family's
privacy is the primary consideration.
Avoid any discussion of military operations on the basis that you lack direct
knowledge of the event and the inappropriateness of speculation. Likewise, avoid
speculation on current U.S. Government and military policies pertaining to ongoing
military operations.
If the NOK are approached by media desiring to interview them, ensure that the NOK
are aware that they have the right to choose whether or not to speak to reporters and
that if they do so, they also have the right to stop at any time.
If the family members are approached by media desiring to be present at the funeral
or memorial service, ensure that the family members understand that it is solely their
decision whether or not to allow the media at the service. However, the funeral director
needs to be advised if media will be attending so appropriate arrangements can be
made.
In the event the family will be interviewed by the media or the family permits the
media to attend the service, ensure the family is informed that an Army PAO
representative can provide assistance. If the family desires PAO assistance, contact
the PAO located at the installation responsible for providing support for the family and
the funeral service director. If the family does not request PAO assistance, you should
still contact the PAO to inform them of anticipated media involvement.
16
DIRECTORY
Casualty Assistance
DA Casualty Operations Division
Telephone Number
****************************************************************************************************
Casualty Operations Center
1-800-626-3317
(703) 325-7990/1/2
DSN 221-xxxx
Disposition of Remains
(703) 325-5322
DSN 221-xxxx
Personal Effects
(703) 325-5322
DSN 221-xxxx
Preparation of DD Form 1300
(703) 325-5316
DSN 221-xxxx
SGLI Certification
5316
(703) 325-
DSN 221-xxxx
_____________________________________________________________________
*STATE BUREAU OF VITAL STATISTICS
To obtain certified copies of State Death Certificate*
*Check with Funeral Director, they can assist in obtaining Death Certificate
_____________________________________________________________________
Defense Finance Accounting System (DFAS)
DFAS-Indianapolis
Arrears of Pay
Death Travel Claims
DFAS-Cleveland
Customer Service
Customer Service FAX
Casualty
DFAS-Denver
(317) 510-0237 / 8
DSN 699-xxxx
(317) 510-4258
DSN 699-xxxx
1-800-321-1080
1-800-469-6559
1-800-269-5170
DSN 580-xxxx
Annuitants Customer Service
1-800-435-3396
FAX
1-800-982-8459
Foreign Annuitants
(303) 676-6552
_____________________________________________________________________
INSTALLATION ADJUTANT GENERAL DIVISION
17
Adjutant General
Bldg--
Casualty Area Command
Bldg--
Chief, PSC
Bldg--
Line of Duty
Bldg--
ID Cards
Bldg--
DEERS Updates, Defense Manpowere Data Center:
FAX
Retirements Services
Bldg--
Transition Center
Bldg—
Mortuary Services Officer
Bldg--
1-800-538-9552
1-831-655-8317
Travel Services Office
Bldg-_____________________________________________________________________
AMERICAN RED CROSS
Field Director
Bldg--
Hospital Field Director
Bldg-_____________________________________________________________________
ARMY COMMUNITY SERVICES (ACS)
ACS Coordinator
Bldg--
Army Emergency Relief (AER) Bldg-_____________________________________________________________________
TRANSPORTATION SERVICES
Household Goods (Outbound) Bldg-Household Goods (In-Bound) Bldg-Transportation Motor Pool
Bldg-_____________________________________________________________________
HOUSING DIVISION
Family Housing
Bldg--
____________________________________________________________________
18
CHAPLAIN'S OFFICE
Post Chaplain Office
Bldg-Marriage & Family Life Center Bldg-Problem (After Duty Hours)
Bldg-_____________________________________________________________________
LEGAL ASSISTANCE OFFICE
SJA, Legal Assistance Office Bldg-_____________________________________________________________________
SOCIAL SECURITY ADMINISTRATION
Social Security
1-800-772-1213
State Office
Local Office
_____________________________________________________________________
DEPARTMENT OF VETERANS AFFAIRS (DVA)
Information on VA Benefits
1-800-827-1000
State VA Commissioner
State VA Regional Office
Life Insurance
1-800-669-8477
Education Loan
1-800-326-8276
State VA Medical Centers
Office of Servicemembers' Group Life Insurance
1-800-419-1473
Veterans Group Life Insurance
1-800-419-1473
_____________________________________________________________________
ARMY/AIR FORCE MUTUAL AID
Customer Service
1-800-336-4538
(703) 522-3060
_____________________________________________________________________
PUBLIC AFFAIRS OFFICE (PAO)
Installation PAO
Bldg-_____________________________________________________________________
19
CEMETERY
Post Cemetery
National Cemetery
Chief, Military Honors & Funeral Details
_____________________________________________________________________
HOSPITAL
Patient Administration
TRICARE For Life Information
1-888-363-5433
TRICARE Plus MTF Capacity Information:
1-888363-5433
TRICARE Family Member Dental Plan (TFMDP)
1-800-866-8499
TRICARE Senior Pharmacy:
1-877-363-6337
Delta Dental - Retiree Dental Plan
1-888-336-3260
For Enrollment
1-888-838-8737
____________________________________________________________________
MILITARY CLOTHING SALES
Sales
Bldg--
Awards
Bldg-_____________________________________________________________________
Post Exchange (PX)
DDP Account
_____________________________________________________________________
Gold Star Wives Organization
1-888-479-9788
Membership Services
1-888-751-6350
Tragedy Assistance Program for Survivors, INC. (TAPS)
1-800-368-TAPS
1-800-959-TAPS
_____________________________________________________________________
20
GENERAL INFORMATION
BENEFITS AND ENTITLEMENTS
BURIAL - When a soldier dies on active duty the military will provide the following:
o Preparation and disposition of the remains; casket; and transportation to a
place designated by the person authorized to direct disposition of remains (PADD).
o Cremation; and an urn.
o A United States flag to drape the casket
o Military honors.
o Burial in any national cemetery, for the soldier and eligible family members
(provided space is available).
o A regulation government headstone or marker.
Burial costs: The military assumes responsibility and will prepare and casket the
remains at no charge to the family. If the family assumes responsibility they can be
reimbursed up to the applicable government contract amount or $1750, whichever is
less. In addition, there is an allowance to assist in defraying costs incident to burial of
the remains in the maximum amount of $3100 for interment in a civilian or private
cemetery; $2000 when consigned to a funeral home for burial in a national or post
cemetery; $110 if shipped directly to the national cemetery or post cemetery for
interment. The CAO should ensure that the PADD has a copy of DD Form 1375
(Request for payment of Funeral and/or Interment Expenses) in order to submit a claim
for their funeral and interment allowance.
Commercial Life Insurance - Contact should be made with the nearest representative
or the home office of the insurer for settlement and claim guidance.
Commissary and Exchange Privileges - The unremarried surviving spouse and
qualified dependents are eligible to shop at military commissaries and exchanges,
normally providing a savings over similar goods sold in private commercial
establishments.
Credit Unions, Banks and Charge Accounts Contact all financial institutions
concerning transfer of the accounts to the survivor’s name. Also, inquire about any
insurance that may be associated with the accounts.
Death Certificates - The DD Form 1300 (Report of Casualty) is issued and mailed to
the PNOK approximately 3 weeks after the death. The DD Form 1300 may be used in
all matters when proof of death is required. The death certificate issued by the state
may be obtained through the funeral director or throught the Bureau of Vital Statistics in
the appropriate state. Insurance companies and Social Secuity Administration require
a certified copy. There is generally a nominal fee for this service.
21
Death Gratuity - A gratuity, intended to provide immediate cash to meet the needs of
the survivors. Payable in the event of death while on active duty, to include travel
to/from a scheduled active duty training session for reservist). The gratuity is also
payable if death occurs during 120 days following discharge/release from AD (to include
retirements) under honorable conditions and death is determined by DVA to be
serviced connected. The death gratuity payment is $6000, of which $3000 is taxable
income.
Dependency and Indemnity Compensation (DIC) - The Department of Veterans’
Affairs (DVA) pays a tax-free monthly amount to an unremarried surviving spouse of a
Soldier whose death is determined to be service-connected and not as a result of an
individuals own misconduct. The basic spouse DIC is a flat rate annuity of $911 per
month. An additional $229 is paid for each dependent child until age 18. If there is no
surviving spouse but surviving children, DIC is paid at rate of: $386 for 1 child; $556 for
2 children; $723 for 3 children; for each additional child add $140. Payments are made
until the child’s 18th birthday, or longer if in school.
Financial Counseling Services – Beneficiary Financial Counseling Services (BFCS) is
a benefit offered to beneficiaries of Servicemembers’ Group Life Insurance (SGLI) and
Veterans’ Group Life Insurance (VGLI) policies that is provided free through the
Department of Veterans Affairs. The beneficiary of SGLI and VGLI can take advantage
of free professional financial advice. The counseling services are provided by Ernst
and Young, LLP. The counselors of Ernst and Young has no products to sell and their
counselors don’t receive a commission for their services. They are not affiliated with
any banks or investment firms, so their advice is always objective. The counselor will
cover such topics as estate settlement, benefit elections, investments, income taxes,
retirement planning and cash flow management. When the SGLI or VGLI claim is
settled, call the Ernst and Young helpline, 1-800-425-4425, to arrange a convenient
meeting with a financial counselor.
Financial Assistance - To meet a financial emergency, the family member may
receive financial assistance from the Army Emergency Relief (AER). Financial
assistance provided by AER will be temporary, based on the immediate needs.
Government Housing or Allowances - Survivors are provided rent-free government
housing for 180 days or the tax-free allowances for housing appropriate to the soldier’s
grade for any portion of the 180 day period while not in quarters. Installation
commanders may grant an “Exception”, allowing the NOK of a retiree, (PDRL/TDRL) to
remain in government quarters up to 180 days.
Health Care - A surviving spouse and minor children of the Soldier are normally
eligible for space-available medical care at military medical facilities or are covered by
TRICARE (MEDICARE after age 65). Dental coverage (United Concordial Company
Incorporated (UCCI)) are extended for one year after the member’s death if the soldier
was participating in TRICARE – Active Duty Family Member Dental Plan (TFMDP).
22
Identification Card - The NOK should be accompanied to the ID Card Facility to
obtain new ID Cards to indicate status changes, i.e., active duty to “AD/DEC” or retired
to “RET/DEC”.
Income Tax Benefits - The next of kin of a Soldier whose death occurs overseas as a
result of terrorist or military action is exempt from paying the decedents income tax for
at least the year in which the death occurred . Payments made by the VA are also tax
exempt. Additionally, the first $3000 of the death gratuity is tax exempt, leaving $3000
taxable. Contact the local office of IRS for information and guidance regarding tax
issues.
Legal Assistance - Make an appointment with the Legal Assistance Office and
accompany the PNOK to obtain legal advice or assistance. Ensure PNOK is aware of
available legal assistance for future assistance.
Service-Disabled Veterans Insurance (S-DVI) – The S-DVI program was established
in 1951 and is still open to new issues. Basic SDVI – To be eligible for basic SDVI, a
veteran must have been released from active duty under other than dishonorable
conditions on or after 25 April 1951. The veteran must have received a rating for a
servcie-connected disability and must be in good health except for any serviceconnected conditions. Application must be made within 2 years of being granted
service-connection for a disability. S-DVI is available in a variety of permanent plans as
well as term insurance. Policies are issued for a maximum face amount of $10,000.
Under certain conditions, the Basic S-DVI policy provides for a waiver of premiums in
case of total disability. Supplemental S-DVI – Policyholders who carry the basic SDVI coverage and who become eligible for a waiver of premiums due to total disability
can apply for and be granted additional Supplemental S-DVI of up to $20,000. The
insured has up to one year after being notified of his/her eligibility for waiver of the basic
policy to apply for the Supplemental S-DVI. No waiver of premiums due to total
disability can be granted on Supplemental S-DVI coverage.
Servicemembers’ Group Life Insurance (SGLI) - The amount of SGLI in force was
determined by the service member. Some members decline SGLI coverage.
Determination and payment of claim is made by the Office of Servicemembers’ Group
Life Insurance (OSGLI) under the jurisdiction of the DVA.
a. Claim application is made on SGLV-8283 (Claim for Death Benefits).
Settlement is made, normally within 60 days, unless there are complications, i.e., PNOK
not definitely established, homicide involved, etc. SGLI is paid to principal
beneficiary(ies) listed on the SGLV-8286.
b. When a claim for SGLI or VGLI is approved for payment, the money is
automatically transferred into a personalized interest-bearing checking account in the
beneficiary’s name, called the “Alliance Account”. With this account the beneficiary can
withdraw the entire amount immediately -- or over time. The beneficiary will receive –
23




A Certificte of Account Confirmation
A personalized checkbook
A Guide to Feature and Benefits
An information Request form asking for signature verification and Internal
Revenue W9 certification.
The beneficiary can maintain a balance for as long as they desire. Also, the account
earns an attractive interest rate. The beneficiary may write checks as often as they
choose, in any amount $250 or more. Each month the beneficiary will receive a
statement detailing the account balance, interest earned, current interest rate, and any
other account activity. Customer Service Representatives are available for questions at
their toll free number 1-877-255-4262, Monday – Friday, 8 a.m. – 8 p.m. Eastern Time.
Social Security Administration - The PNOK must apply in order to receive benefits.
An application can be made at any Social Security Office or call 1-800-772-1213 to
make application for benefits. A telephonic appointment will be made by the Social
Security office. On the date of the appointment arrage to assist the PNOK with any
necessary paperwork.
State Benefits - Many States have laws which provide certain rights, benefits and
privileges to the spouse and/or children of decease active duty soldiers. These benefits
may include bonuses, education assistance, employment preference, tax exemptions,
and others. Seek further information pertaining to a particula state from local
government officials, VA Office, and local veterans organizations, i.e., American Legion,
Veterans of Foreigh Wars (VFW), or Disable American Veterans Organization.
Travel/Household Goods - Surviving spouse and family members are entitled to
travel at government expense to their home within one year of the Soldier’s death.
Shipment of household goods at government expense is also authorized.
TRICARE - Active Duty Family Member Dental Plan - When a Soldier dies on active
duty and has served on active duty for a period of more than 30 days, the enrolled
family member(s) will continue ro receive benefits for 1 year from the month following
the month of the sponsor’s death, as long as the family member(s) was enrolled in the
TFMDP at the time of the sponsor’s death. The soldier’s survivors do not pay any
premiums for this 1 year death benefit.
Unpaid Pay and Allowances - Application for unpaid pay and allowances is made on
Standard Form 1174 (Claim for Unpaid Compensation of Deceased Member of the
Uniformed Services). This is a lump sum payment made to the beneficiary named by
the Soldier on the DD Form 93 (Record of Emergency Data). It includes all pay and
allowances due the member by unpaid at the time of death. This includes all of the
Soldier’s unused accured leave, even beyond the 60 day limit.
24
Uniformed Services Survivor Benefit Plan (SBP) - Eligible spouses and children of
Soldiers who were retirement eligible at the time of death are entitled to monthly
payments under the SBP. The annuity amount for a spouse under age 62 is equal to
55% of the retired pay that would have been payable if the member retired on the date
of death. When the spouse is age 62, the benefit is reduced to 35%. A spouse loses
entitlement to SBP if remarried under age 55, but may be reinstated if that marriage
ends through death or divorce. Application to start the annuity must be made on DD
Form 1884 (Application for Annuity Under the Retired Serviceman’s Family Protection
Plan (RSFPP) and/or Survivor Benefit Plan (SBP)). Detailed information may be
obtained from the Installation Retirement Services Office. The annuity is taxable.
VA Educational Benefits - In the event of a service-connected death the unremarried
surviving spouse and children ages 26 and below are eligible for education benefits of
$404 per mont for 45 months if attending a VA – approved school. (The spouse has 10
years from date of death to complete the 45 months). Additionally, an eligible child over
age 14 with a physical or mental disability that impairs pursuit of an education program
may receive special restorative training to lessen or overcome that impairment.
VA Home Loan Program - The unmarried surviving spouse of a Soldier who dies on
active duty or dies of a service-connected disability is entitled to a VA Home Loan for
the purpose of building or purchasing a home; to make repairs, alterations, or
improvements in homes already owned; to refinance an existing loan; and other
reasons specified by the VA.
25
*** IMPORTANT DOCUMENTS ***
Most of the following documents are necessary when applying for benefits and
settling an estate. The next of kin should locate or know the whereabouts of the
documents listed below. Remember, never give the original or a permanent, personal,
or family record to another person, even for business purposes. Certified copies have
all the legal status of the original and ensures that when the original is needed again it
will be available.
a.
Birth Certificates (all family members).
b.
Death Certificates. DD Form 1300 (Report of Casualty). Civilian death
certificates can be purchased through the funeral home (at least 12 certified
copies recommended).
c.
Marriage Certificate and/or divorce papers.
d.
Immigration and/or naturalization papers.
e.
Adoption, custody documents.
f.
Separation documents from military service, i.e., DD Form 214, (Certificate of
Release or Discharge from Active Duty).
g.
Social Security Number/Card. (For all family members).
h.
Wills, Deeds of Trust.
i.
Insurance policies (life, home, vehicles, boat, etc.)
j.
Income Tax records. (Last 3 years recommended)
k.
Copies of deeds, abstract, mortgages, rental contracts, etc.
l.
Documents referring to bank accounts (checking, savings), loans, securities,
stocks, bonds, etc.
m.
References to safe deposit boxes.
n.
Any reference to an outstanding debt.
o.
Titles, automobiles registrations.
NOTE: Tear out this page and give to the PNOK or make a copy.
26
Department of the Army
Organization Name/Title
City, State, and Zip Code
Date
Casualty and Memorial
Affairs Office
Mrs. Susan E. Henderson
123 Old Guard Lane
City, State, and Zip Code
Dear Mrs. Henderson:
The Army desires to assist you in the funeral arrangements of your
(relationship)(rank and name).
You have a choice as to whether you want the Army to arrange the preparation
and shipment of the remains, or whether you want to make these arrangements.
If you wish, the Army will provide for the embalming and preparation of the
remains, a casket that meets Government specifications, a military escort to
accompany the remains, and movement by the most expeditious means to a funeral
home or a Government cemetery of your choice that has grave space available. The
Army will also make arrangements for cremation if you so desire. These services will
be provided at Government expense.
If you desire the Army to prepare and transport the remains, you have a choice
of caskets, metal sealer or hardwood non-sealer, depending upon the judgement of
Army authorities, if the condition of the remains permits honoring your choice.
Normally, if your choice is a hardwood casket, your choice can be honored unless the
condition of the remains are such that they are not suitable for viewing at funeral
services, notwithstanding the best professional effort. Of course, if your choice is a
metal sealer casket, it will be honored without question. You will be informed before the
remains are shipped to the funeral home or Government cemetery you selected of the
type of casket provided.
Sample letter regarding disposition of remains (death is in CONUS)
27
-2-
Of course, if you desire to make your own arrangements, your funeral home, not
the Army will advise you on the appropriate type of casket. You are reminded,
however, you will only be reimbursed for preparation and casket in an approximate
amount of (contract price or primary care allowance) or actual cost, whichever is
less, plus what it would have cost the Government to transport the remains to final
destination.
Whether the Army or you make all arrangements, an interment allowance will be
paid to help defray burial expenses. Maximum allowance is (current allowance) if
interment is in a civilian cemetery; maximum allowance of (current allowance) if
consignment is made to a funeral home prior to interment in a National or other
Government cemetery; and a maximum allowance of (current allowance) if consigned
directly to a National or other Government cemetery. Facilities for viewing the remains
are not available at National or other Government cemeteries. Your casualty
assistance officer can provide information on availability of grave space in National or
other Government cemeteries.
Please express your desired disposition instructions by completing the enclosed
DA Form 7302-R (Disposition of Remains Statement) and return to your casualty
assistance officer as soon as possible.
Sincerely,
Michael P. Robinson
Major, United States Army
Mortuary Affairs Representative
Fort Bliss, TX
Enclosure
Continuation of Sample letter regarding disposition of remains (death is in
CONUS)
28
Department of the Army
Organization Name/Title
City, State, and Zip Code
Date
Casualty and Memorial
Affairs Office
Mrs. Susan E. Henderson
123 Old Guard Lane
City, State, and Zip Code
Dear Mrs. Henderson:
The Army desires to assist you in the funeral arrangements of your
(relationship)(rank and name).
The remains of your (relationship) will be returned to the United States on the
first available aircraft after completion of the necessary mortuary services. The remains
will be escorted to the funeral home of your choice or directly to any National or other
Government cemetery in which grave space is available. Facilities for viewing the
remains are not available at National or other Government cemeteries. The Army will
also make arrangements for cremation if you so desire. These services will be provided
at Government expense.
If you desire the Army to make arrangements for the remains, you usually have a
choice of caskets, metal sealer or hardwood non-sealer, depending upon the condition
of the remains and other factors. We will provided you the information you will need to
make an informed choice. If information later becomes available that may prevent
honoring your initial choice, you will be informed of the reason(s). In any instance, you
will be informed before the remains are shipped to the funeral home or Government
cemetery you selected of the type of casket provided.
Sample letter regarding disposition of remains (death is OCONUS)
29
-2-
You will be paid an interment allowance to help defray burial expenses.
Maximum allowance is (current allowance) if interment is in a civilian cemetery;
maximum allowance of (current allowance) if consignment is made to a funeral home
prior to interment in a National or Government cemetery; and a maximum allowance of
(current allowance) if consigned directly to a National or Government cemetery. Your
casualty assistance officer can provide information on availability of grave space in
National or Government cemeteries.
You will be advised of the arrival time of the remains at destination. Please do
not set a funeral date until the Army has advised you of the scheduled arrival time of
the remains of your (relationship) at destination.
Please express your desired disposition instructions by completing the enclosed
DA Form 7302-R (Disposition of Remains Statement) and return to your casualty
assistance officer as soon as possible.
Sincerely,
Michael E. Robinson
Major, United States Army
Mortuary Affairs Representative
Fort Bliss, Texas
Enclosure
Continuation Sample letter regarding disposition of remains (death is OCONUS)
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SAMPLE OF A REQUEST FOR COPY OF AUTOPSY REPORT
Mrs. Susan A. America
180 Any Street
City, State, Zip Code
(123) 456-7890
____________________
(Date)
Director, Patient Administration
Systems Bio-Statistical Activity
ATTN: MCHS-IN (Ms. Lynn Collins)
1216 Stanley Road, Suite 25
Fort Sam Houston, Texas 78234-6025
Dear Sir:
My husband, Sergeant First Class Robert A. America, 987-65-4321, died at
Grafenwoeher, Germany, on June 2, 1997, as a resut of injuries received while the
driver of a privately owned vehicle that was involved in an accident.
I am his wife. Enclosed is a copy of the completed Final DD Form 1300 (Report
of Casualty). Upon completion, please forward a copy of the "Autopsy Report" to the
above address.
Sincerely,
Susan A. America
Enclosure
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SAMPLE OF A REQUEST FOR A COPY OF ACCIDENT REPORT
Mrs. Susan A. America
180 Any Street
City, State, Zip Code
(123) 456-7890
____________________
(Date)
Commander
U.S. Army Safety Center
ATTN: CSSC-ZJA
Fort Rucker, Alabama 36362-5363
Dear Sir:
My son, Michael David America, 911-123-4567, died at Parsberg, Germany on
August 22, 1997.
I am his, mother. Enclosed is a copy of the completed Final DD Form 1300
(Report of Casualty). Upon completion of your investigation, please forward a copy of
the "Accident Report" to the above address:
Sincerely,
Susan A. America
Enclosure
33
SAMPLE OF A REQUEST FOR A COPY OF CID/MP REPORT
Mrs. Susan A. America
180 Any Street
City, State, Zip Code
(123) 456-7890
____________________
(Date)
Criminal Investigation Division
U.S. Army Crime Records Center
ATTN: FOIA Division/Privacy Act
6010 6th Street
Fort Belvoir, VA 22060-5585
Dear Sir:
My husband, Sergeant First Class Robert A. America, 987-65-4321, died at
Grafenwoeher, Germany, on June 2, 1997, as a resut of injuries received while the
driver of a privately owned vehicle that was involved in an accident.
I am his wife. Enclosed is a copy of the completed Final DD Form 1300 (Report
of Casualty). Upon completion of your investigation, please forward a copy of the
complete Criminal Investigation Division Report and Military Police Report to the above
address.
Sincerely,
Susan A. America
Enclosure
34
SAMPLE OF A REQUEST FOR COMPLETE COPY OF REPORT OF
INVESTIGATION (LOD)
Mrs. Susan A. America
1234 Any Street
City, Street, Zip Code
(123) 4546-7890
___________________
(Date)
Commander
U.S. Total Army Personnel Command
ATTN: TAPC-PED-A
2461 Eisenhower Avenue
Alexandria, Virginia 22331-0482
Dear Sir:
My husband, Sergeant First Class Robert A. America, 987-65-4321, died at
Grafenwoeher, Germany, on June 2, 1997, as a resut of injuries received while the
driver of a privately owned vehicle that was involved in an accident.
I am his wife. Upon completion of the Line of Duty investigation, please forward
a copy of the "Report of Investigation" (Line-of-Duty) to the above address.
Sincerely,
Susan A. America
Enclosure
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FORMS PREPARATION AND ASSISTANCE
The following is a list of forms needed when making applications for benefits and
entitlements. Ensure the forms are available for preparation when you visit the
appropriate agency.
DA Form 1594 (Daily Staff Journal or Duty Officer Log)
DA Form 4475-R (Data Required by the Privacy Act of 1974 - Personal Information
from the NOK of a Deceased Service Member)
DA Form 5516 (Casualty Assistance Referral Card)
DD Form 397 (Claim Certification and Voucher for Death Gratuity Payment)
DD Form 1172 (Application for Uniformed Services Identification DEERS Enrollment
Card)
DD Form 1375 (Request for Payment of Funeral and/or Interment Expenses)
DD Form 1701 (Inventory of Household Goods)
DD Form 1884 (Application for Annuity Under the Retirees Serviceman's Family
Protection Plan (RSFPP) and/or Survivor Benefit Plan (SBP)
SGLV-8283 (Claim for Death Benefits)
Standard Form 180 (Request Pertaining to Military Records)
Standard Form 1174 (Claim for Unpaid Compensation of Deceased Member of the
Uniformed Services)
Standard Form 1199a (Direct Deposit Sign-Up Form)
Standard Form 2800 (Application for Death Benefits - Civil Service Retirement
System)
CSF Form FE-6 (Claim for Death Benefits (Federal Employee's Group Life Insurance))
VA Form 21-530 (Application for Burial Benefits)
VA Form 21-534 (Application for Dependency and Indemnity Compensation or Death
Pension by Surving Spouse or Child)
VA Form 21-535 (Application for Dependency and Indemnity Compensations by
Parents)
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Leader Development for Army Professionals
VA Form 21-4138 (Statement in Support of Claim)
VA Form 21-4142 (Authorization for Release of Information)
VA Form 21-8834 (Application for Reimbursement of Headstone or Marker Expenses)
VA Form 22-5490 (Application for Survivor's and Dependents' Educational Assistance)
VA Form 40-1330 (Application for Headstone or Marker to Placement in a Private or
Local Cemetery)
VA Form 29-4125 (Claim for One Sum Payment)
VA Form 29-4125A (Claim for Monthly Payments, National Service Life Insurance)
VA Form 90-2008 (Application for United States Flag for Burial Purposes)
SSA-24 (Application for Survivors Benefits)
FMS Form 2231 (FASTSTART DIRECT/DEPOSIT)
36
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Leader Development for Army Professionals
AVAILABLE BENEFITS AND ENTITLEMENTS
(Active Duty)
Benefit or Entitlement
Member Dies While on Active Duty
Explanation of Benefits
____________________________________________________________________________________________________________________
Emergency financial assistance
Eligible in time of emergency need.
See Army Emergency Relief (AER) or American Red
Cross representatives.
____________________________________________________________________________________________________________________
Care of remains of soldier
Eligible
Army assumes responsibility and will prepare and
casket the remains at no charge to the family. If family
assumes responsibility - reimbursement up to
applicable government contract amount or
$1750.00, whichever is less.
____________________________________________________________________________________________________________________
Burial Allowance
Eligible
$3100 if shipped to a funeral home for interment in a
civilian cemetery; $2000 when shipped to a funeral
home for burial in a National or Post cemetery; $110
if shipped directly to the National or Post cemetery
for interment.
____________________________________________________________________________________________________________________
Transportation of Remains
Eligible
If Army arranges preparation of remains, all
transportation is paid. If the family assumes
responsibility, they will be reimbursed what it would
have cost the government to transport the remains.
____________________________________________________________________________________________________________________
Burial in National Cemetery
Eligible
Space may also be reserved for a spouse.
Minor/handicapped children may also be buried in
National / Post cemetery.
____________________________________________________________________________________________________________________
Military Funeral
Eligible
Provided by Army installation responsible for the
geographic area where interment is to take place.
____________________________________________________________________________________________________________________
40
Benefit or Entitlement
Member Dies While on Active Duty
Explanation of Benefits
____________________________________________________________________________________________________________________
Burial Allowance Payable by Social
Limited to those who have a surviving
$255 paid in one lump sum to spouse. If no surviving
Security
spouse or child eligible to receive Social
spouse, it is paid to child(ren) who are eligible to draw
Security benefits. Social Security benefits.
____________________________________________________________________________________________________________________
Travel and Per Diem to Burial
Eligible
Spouse and dependent children (to include
Services
illegitimate children) only. If no surviving spouse
or children, then parents (including step-parents).
Per diem 2 days only.
____________________________________________________________________________________________________________________
Death Gratuity
Eligible
$6,000 payable within 72 hours after death (AD death
only). Payable to child(ren) or designated relative
other than natural parent(s) will be made by DFAS.
Payments made by DFAS will not be paid within 72
hours.
____________________________________________________________________________________________________________________
Unpaid Pay and Allowances
Eligible.
Payable to designated beneficiary to include accurred
leave.
____________________________________________________________________________________________________________________
VA payment of Dependency
Eligible if death is service-connected.
A claim must be filed. If VA considers the death
Indemnity Compensation (DIC)
service connected, payment is made monthly.
Monthly rate is $881 for all ranks. $222 for each
child; DIC payment stops upon re-marriage.
____________________________________________________________________________________________________________________
VA Dependents Educational Assistance
Eligible if death is service connected
Spouse and children between 18 and 26 years are
eligible for 45 months of VA education benefits.
Spouse has 10 years from date of death to complete.
Children have until their 26th birthday.
____________________________________________________________________________________________________________________
Payment by VA of Pension to
Subject to income limitations.
If death is not service-connected and total income is
Widow not entitled to DIC
limited.
____________________________________________________________________________________________________________________
Post Exchange
Eligible
Must have current ID Card.
____________________________________________________________________________________________________________________
Motion Picture Facilities
Eligible
Must have current ID Card.
____________________________________________________________________________________________________________________
41
Benefit or Entitlement
Member Dies While on Active Duty
Explanation of Benefits
____________________________________________________________________________________________________________________
Commissary
Eligible
Must have current ID Card.
____________________________________________________________________________________________________________________
Recreation Facilities
Eligible
Must have current ID Card.
____________________________________________________________________________________________________________________
Shipment of Personal Effects
Eligible
To the place of residence of the authorized recipient,
if the recipient did not reside with the deceased
soldier.
____________________________________________________________________________________________________________________
Travel of dependents and shipment of
Eligible
ONE TIME MOVE. Spouse and dependent children
household goods and personal effects
may move one time at government expense.
at government expense.
Household goods will not be moved a greater distance
than the personal travel was; i.e., if transportation for
the family was from Ft Hood, TX to Washington State,
then that is the greatest distance that the household
goods can be shipped. Also, one motor vehicle can be
shipped at government expense on this move.
____________________________________________________________________________________________________________________
Medical care from civilian sources
Eligible. Consult TRICARE health benefits
New ID cards and DEERS enrollment is necessary.
through TRICARE
advisor or representative at patient
After age 65 will not be entitled to civilian medical
administrative department of nearby
care.
uniformed service medical treatment facility.
____________________________________________________________________________________________________________________
MEDICARE
Eligible at age 65
Spouse / handicapped children may be eligible.
Social Security office should be consulted on
children.
____________________________________________________________________________________________________________________
Servicemembers’ Group Life Insurance
Eligible. Payable to beneficiary(ies)
$200,000 unless otherwise indicated by member on
(SGLI) proceeds
designated by soldier.
the election form. Claims are filed with the office of
OSGLI by the designated beneficiary(ies).
____________________________________________________________________________________________________________________
Veterans Group Life Insurance (VGLI)
Not eligible
____________________________________________________________________________________________________________________
Payment of survivor benefit plan (SBP)
Eligible
Provided active duty soldier is eligible for retirement
annuity
____________________________________________________________________________________________________________________
42
Benefit or Entitlement
Member Dies While on Active Duty
Explanation of Benefits
____________________________________________________________________________________________________________________
Social Security
Eligible when widow(er) reaches age 60/62
Spouse's benefits before age 60/62 depends upon
or earlier if 100% disabled, or immediately if
for dependent children and earnings.
caring for dependent child who is under 16
years old or disabled.
____________________________________________________________________________________________________________________
Dental Care
Limited eligibility. Routine dental care may be Each installation has different policies. Check the
provided at installations overseas and at
installation near you to see what dental services they
certain installations in CONUS when
provide.
authorized by the Secretary of the Army.
____________________________________________________________________________________________________________________
TRICARE - Family Member Dental Plan
Eligible.
For a period of 1 year if member dies while on AD for
a period of 30 days or more and dependents were
enrolled prior to death.
____________________________________________________________________________________________________________________
BAH/Quarters Allowance
Eligible if soldier was eligible at time of death Family members may remain in quarters up to 180
days after death without charge, or a combination of
quarters and BAH not to exceed 180 days. Those
families who do not live in quarters are paid monthly by
DFAS for 180 days BAH plus VHA. If member was not
eligible for BAH, then it is not paid.
_____________________________________________________________________________________________________________________
Montgomery GI Bill (Title 30)
Eligible, if member participated
For reimbursement, VA application by beneficiary
through VA.
_____________________________________________________________________________________________________________________
Grave and Memorial Markers
Eligible
Grave and Memorial markers are provided for the
grave site of those interred in private or National
Cemeteries without charge and shipped at government
expense to the consignee designated. The cost of
placing a marker in a private cemetery must be
born by the applicant. The Funeral Director should
assist in asking an application for stones to be set in
private cemeteries. An application is not required for
National cemeteries.
____________________________________________________________________________________________________________________
43
AVAILABLE BENEFITS AND ENTITLEMENTS
(Retiree)
Benefit or Entitlement
Member Dies In a Retired Status
Explanation of Benefits
_____________________________________________________________________________________________________________________
Emergency Financial Assistance
Eligible in time of valid emergency financial
CAO will assist with application when necessary
(e.g. AER, American Red Cross)
need.
_____________________________________________________________________________________________________________________
Care of remains of soldier
Eligible if continuously hospitalized
When eligible the following applies: The Army
provided by military authority
from date of retirement to date of death.
assumes responsibility and will prepare and
casket the remains at no charge to the family. If
family assumes responsibility - reimburse up to
the applicable government contract amount or
$1,750, whichever is less.
_____________________________________________________________________________________________________________________
Burial Allowance for Soldier Payable
Eligible if continuously hospitalized
$3,100 if shipped to a funeral home for interment in
by US Army
from date of retirement to date of death
civilian or private cemetery. $2000 when shipped to
a funeral home for burial in a national or post emetery.
$110 if shipped directly to the national or post
cemetery for interment.
_____________________________________________________________________________________________________________________
Transportation of Remains
Eligible if:
1. If Army arranges preparation of remains, all
1. Continuously hospitalized from date
transportation is paid. If family assumes responsibility,
of retirement to date of death.
they will be reimbursed what it would have cost the
government to transport the remains.
2. Retiree is a properly admitted
2. Funeral director should coordinate payment patient
in a government hospital at the
with the nearest CAC. Paid from hospital to last place
time of death.
of permanent residence at time of admittance.
3. Space available from OCONUS to
3. Family must request assistance through the
port of entry for retirees and their
US Department of State.
dependents.
_____________________________________________________________________________________________________________________
Burial in National Cemetery
Eligible
Space may also be reserved for a spouse.
Minor/handicapped children may be buried in national
or post cemetery, but sponsor must agree to be
interred in same cemetery.
_____________________________________________________________________________________________________________________
44
Benefit or Entitlement
Member Dies In a Retired Status
Explanations of Benefit
_____________________________________________________________________________________________________________________
Military Funeral
Eligible
Provided by Army installation responsible for the
geographic area where interment is to take place
(resources permitting).
_____________________________________________________________________________________________________________________
Burial Allowance Payable by VA
Limited to those eligible for VA or
The funeral director usually completes the claim form
compensation. (Exception: Not eligible if
and has the next of kin sign it. The funeral director
allowance is paid by US Army).
submits the claim to DVA. When he receives the
payment, he will deduct if from the funeral bill, or
refund it if the bill has been paid. If the funerla director
does not submit the claim, the next of kin my file
directly with the DVA for the burial allowance.
_____________________________________________________________________________________________________________________
Burial Allowance Payable by
Eligible
$255 paid, lump sum to spouse. If no surviving
Social Security
spouse, it is paid to child(ren) who are eligible to
receive social security benefits.
_____________________________________________________________________________________________________________________
Death Gratuity ($6,000)
Eligible only if death was service-connected
Payment will be made by DFAS-Cleveland, after
and within 120 days of retirement.
coordination with DVA for adjudication to determine the
death claim is service-connected.
_____________________________________________________________________________________________________________________
Travel of Dependents, shipment of
Eligible if retiree has not moved to home
ONE TIME MOVE. Spouse and dependent children
household goods and personal effects at
of selection subsequet to retirement (can be
may move one time at government expense. however,
Government Expense
done within 12 months after retirement or 12
household goods will not be moved a greater distance
months plus lenght of hospitalization)
that the personal travel; e.g., transportation for the
family was from Ft Hood to Washington State, then
that is the greatest distance the household goods can
be shipped.
_____________________________________________________________________________________________________________________
Dependency Indemnity
Eligible if death is due to
A claim must be filed with VA. If VA considers and the
Compensation (DIC)
service-connected cause.
death is service-connected, payment is made
monthly. VA has current rates.
_____________________________________________________________________________________________________________________
45
Benefit or Entitlement
Member Dies In a Retired Status
Explanations of Benefit
_____________________________________________________________________________________________________________________
Payment of Unpaid Pay and Allowances
Eligible. Payable to designated
DFAS-CL will send forms to the next of kin upon
beneficiary or by law.
notification that retiree has died. Payment will be
made for the number of days the retiree lived in the
month. Any check received after death must must be
returned to DFAS-CL. If pay is by direct deposit, the
next of kin should notify the financial institution to
return the whole month's pay to DFAS-CL.
_____________________________________________________________________________________________________________________
Education Benefit
Eligible if death is due to serviceSpouse and children between 18 and 26 years are
connected cause
eligible for 45 months of VA educational benefits
(received due to the members disability). Spouse has
10 years from date of death to complete the 45
months. Children have until their 26th birthday.
_____________________________________________________________________________________________________________________
Payment by VA of Pension to
Subject to income limitations.
If death is not service-connected and of total income
Widow not Entitled to DIC
is limited, VA considers need in granting pension.
_____________________________________________________________________________________________________________________
Medical Care at Uniformed
Eligible.
Yes. New ID Cards must be issued and enrollment in
Service Facilities
DEERS must be updated. ID Cards are issued every 4
years unless eligibility changes before the 4 years will
be completed, e.g., child's 21st birthday or spouse's
65th birthday.
_____________________________________________________________________________________________________________________
Medical care from civilian sources
Eligible.
New ID Card and DEERS enrollment is necessary.
through TRICARE
Consult TRICARE Benefits Advisor of PAD
After age 65, not entitled to civilian medical care.
of uniformed service and medical treatment
Medical care, uniformed services or TRICARE, is lost
facility before seeking medical care from
if spouse remarries.
civilian sources.
_____________________________________________________________________________________________________________________
MEDICARE
Eligible at age 65
Spouse/handicapped children may be eligible.Social
Security Office should be consulted on children.
_____________________________________________________________________________________________________________________
46
Benefit or Entitlement
Member Dies In a Retired Status
Explanations of Benefit
_____________________________________________________________________________________________________________________
Dental Care
Limited Eligibility. Routine dental care
Each installation has different policies. Also,
may be provided at installations overseas
check the installation nearest to you to see what
and certain installations in CONUS when
dental services are provided.
authorized by the Secretary of the Army.
_____________________________________________________________________________________________________________________
Family Member Dental Plan
Not eligible
_____________________________________________________________________________________________________________________
Social Security monthly benefits
Eligible when widow(er) reaches age 60 or
Spouse's benefits before age 60/62, depends upon
earlier if 100% disabled, or immediately if
care for dependent children and earnings.
caring for dependent child who is under
16 years old or disabled.
_____________________________________________________________________________________________________________________
Payment of SBP Annuity
Eligible to receive payment each month
NOTE: The annuity is reduced by amount of DIC
plus cost of adjustment if member
payments (with rebate of premium where indicated)
elected to provide protection.
and by military related social security benefit payment
when applicable.
_____________________________________________________________________________________________________________________
SGLI Proceeds Maximum of $200,000
Eligible if date of death is before end of 120th $200,000 unless otherwise indicated on the election
(if not reduced or refused by member)
day after retirement or within 12 months if
form SGLV-8286. Claim is submitted on SGLV-8283
if retired for total disability and OSGLI has .
to OSGLI, Newark, NJ. (address is on form)
approved a 1 year disability extension.
_____________________________________________________________________________________________________________________
VGLI Proceeds (Maximum $200,000
Eligible if currently insured.
Retiree must elect to be insured within the first
(but not more than the amount
120 days after retirement.
of SGLI the member had in force
at time of separation).
_____________________________________________________________________________________________________________________
NSLI Proceeds
Eligible if currently insured.
File claim thru the nearest VA Office.
_____________________________________________________________________________________________________________________
Theaters
Eligible
Must have current ID Card.
_____________________________________________________________________________________________________________________
Commissary
Eligible
Must have current ID Card.
_____________________________________________________________________________________________________________________
Recreation Facilities
Eligible
Must have current ID Card.
____________________________________________________________________________________________________________________
47
Benefit or Entitlement
Member Dies In a Retired Status
Explanations of Benefit
_____________________________________________________________________________________________________________________
Grave and Memorial Markers
Eligible
Grave and Memorial markers are provided for the
gravesites of those interred in private or national
cemeteries without charge and shipped at
government expense to the consignee designated.
The cost of placing marker in a private cemetery must
be borne by the applicant. The funeral director should
assist in making an application for stones to be set in
private cemeteries. An application is not required for
national cemeteries.
_____________________________________________________________________________________________________________________
Service-Disabled Veterans Insurance
Eligible if received a service-connected
To be eligible for basic S-DVI, a veteran must have
(S-DIV)
disability (To be determined by VA)
received a rating for a service-connected disability.
Application must be made within 2 years of being
granted service-connection for a disability. Policies
are issued for a maximum face amount of $10,000.
_____________________________________________________________________________________________________________________
48
AVAILABLE BENEFITS AND ENTITLEMENTS
DEPENDENT OF AN ACTIVE DUTY SOLDIER*
Benefit or Entitlement
Death of a Dependent
Explanation of Benefits
_____________________________________________________________________________________________________________________
Emergency Financial Assistance
Eligible in time of emergency financial need.
Unit Commander will assist when necessary.
_____________________________________________________________________________________________________________________
Care of Remains (OCONUS)
Eligible (if death occurs OCONUS)
The soldier must reimburse the Army for preparing
the remains and purchase of casket.
_____________________________________________________________________________________________________________________
Transportation of Remains
Eligible
The soldier will be reimbursed the cost of moving the
remains from the place of death to the place of final
disposition.
_____________________________________________________________________________________________________________________
Burial Allowance
Not Eligible
(Payable by Army or DVA)
_____________________________________________________________________________________________________________________
Burial Allowance Payable by Social
Eligibility determined by SSA
$255 paid in one lump sum to spouse.
Security Administration (SSA)
(not paid for death of a child).
_____________________________________________________________________________________________________________________
Burial in a National or Post Cemetery
Eligible
Spouse and minor/handicapped children may be
buried in any National/post cemetery with available
space.
_____________________________________________________________________________________________________________________
Military Funeral Travel and
Not Eligible
Per Diem to Attend Funeral
_____________________________________________________________________________________________________________________
Social Security monthly benefit
Eligibility determined by SSAl
Amount determined by SSA (not paid for death of a
child).
_____________________________________________________________________________________________________________________
* Benefits and entitlements are based solely upon the deceased's status as a dependent. The deceased may be authorized other benefits based
upon eligibility in another status (e.g., veteran, DVA or retiree).
49
ENTITLEMENT TO PAY AND ALLOWANCES WHILE IN A MISSING STATUS
(Detained, Beleaguered, Besieged, Missing-In-Action, Captured)
Benefit or Entitlement
Member is in a Missing Status
Explanation of Benefit
_____________________________________________________________________________________________________________________
Pay
Eligible
A member who enters a missing status is entitled
to the pay and allowances to which entitled when
the missing status began or to which the member
becomes entitled later.
_____________________________________________________________________________________________________________________
BAH and BAS
Eligible
Member without dependents are
entitled to BAH at the without-dependent rate.
Enlisted members are entitled to BAS at the rate
payable when rations in kind are not available.
_____________________________________________________________________________________________________________________
Allotments
Eligible
Allotments in effect before a member enters a
a missing status may be continued.
_____________________________________________________________________________________________________________________
Withholding Income Tax
While in a missing status, wages are not subject to
withholding of Federal and State Income Taxes.
_____________________________________________________________________________________________________________________
Accrued Leave
Eligible
Members, while in a missing status, can
accumulate leave without regard to any leave
accural limitations. Leave accumulated while in a
missing status may not be taken but shall be paid.
_____________________________________________________________________________________________________________________
Movement of dependents,
Eligible
Members dependents are entitled to a move after
soldier is held for 29 days.
_____________________________________________________________________________________________________________________
Dependent Education Assistance
Elgible
Members spouse and children are eligible for
fees, supplies, books and all expenses incurred
while attending an educational institution after the
soldier is held for 90 days. Assistance is effective
beginning on date held captive.
_____________________________________________________________________________________________________________________
Benefit or Entitlement
Member is in a Missing Status
50
Explanation of Benefit
_____________________________________________________________________________________________________________________
Filing Federal and StateTaxes
Members are eligible for delay in filing annual taxes
to the IRS.
_____________________________________________________________________________________________________________________
Savings Allotment
Eligible
Military Service Secretaries may allot part or all of a
Captive’s pay and allowances (except what is
already allotted) to an interest-bearing savings fund
that is maintained by the Secretary of the Treasury.
Withdrawal procedures are established by the
Secretary of the Treasury.
_____________________________________________________________________________________________________________________
Per Diem
Eligible
Member is eligible for 50% of the average worldwide per diem rate. Payable upon release from
missing status.
_____________________________________________________________________________________________________________________
Former Captive Payment
Eligible
Entitlement may only be authorized by the
SECDEF. Requires that SECDEF make “Hostile
Action” determination. The Service Secretary will
provide the names and dates of entitlements to
DFAS-Center.
_____________________________________________________________________________________________________________________
Prisoner of War Compensation
Eligible
Payment authorized by Congress for a specific
period of captivity as a POW is made by the
Secretary of the Treasury and is not considered to
be a Uniformed Services pay and allowances
entitlement.
_____________________________________________________________________________________________________________________
51
WORLD WIDE WEB LINKS
Important Links
Benefits for Survivors: http://www.va.gov/pubaff/fedben/97fedben.htm#32
Defense Finance and Accounting: http://www.dfas.mil/
Department of VA Benefits Homepage: http://www.va.gov/benefits.htm
Department of Veteran’s Affairs: http://www.va.gov/
DOD ID Card Centers: www.dmdc.osd.mil/rls
Medicare Part B: www.medicare.gov
National Personnel Records Center: http://www.nara.gov/regional/mpr.html
Presidential Memorial Certificate: http://www.cem.va.gov/pmc.htm
Social Security Administration: http://www.ssa.gov/
Social Security Survivor Benefits: http://www.ssa.gov/pubs/10084.html
TRICARE W eb Site: www.tricare.osd.mil
TRICARE for Life: www.tricare.osd.mil/tfl/
TRICARE Senior Pharmacy: www.tricare.osd.mil
TRICARE Plus: www.tricare.osd.mil/plus/
Veteran’s Benefit Administration: http://www.vba.va.gov/benefits/address.htm
Survivor Assistance Centers
Grief and Healing Homepage: http://www.webhealing.com/cgi-bin/main.pl
Gold Star W ives: http://goldstarwives.org/
Society of Military W idows: http://militarywidows.org/
Tragedy Assistance Program for Survivors: http://www.taps.org/
The Compassionate Friends: http://www.compassionatefriends.org/
Understanding Grief: http://www.hsc.edu/stu/counseling/selfhelp/grief.html
52
CASUALTY RELATED FORMS
DD Form 149 Application for Correction of Military Record Under the Provisions of Title
10, U.S. Code, Section 1552 (2 pages)
http://www.vba.va.gov/pubs/forms/DD149.pdf
DD Form 397 Claim Certification and Voucher for Death Gratuity Payment
http://web1.whs.osd.mil/forms/DD0397.PDF
DD Form 1375 Request for Payment of Funeral and/or Interment Expenses
http://web1.whs.osd.mil/forms/DD1375.PDF
DD Form 2062 Record of Preparation and Disposition of Remains (outside CONUS)
http://web1.whs.osd.mil/forms/DD2062.PDF
DD Form 2065 Disposition of Remains - Reimbursable Basis
http://web1.whs.osd.mil/forms/DD2065.PDF
SF 1174 Claim for Unpaid Compensation of Deceased Member of the Uniformed
Services
http://web1.whs.osd.mil/forms/SF1174.PDF
SGLV 8283 Claim For Death Benefits - Form returned to Office of Servicemembers'
Group Life Insurance (2 pages)
http://www.vba.va.gov/pubs/forms/SGLV8283.pdf
VA Form 21-530 Application For Burial Benefits (Under 38 U.S.C. Chapter 23) (4
pages)
http://www.vba.va.gov/pubs/forms/21-530.pdf
VA Form 21-534 and SSA-24 Accrued Benefits by a Surviving Spouse or Child
(Including SSA Form 24 Application for SSA Death Compensation, 12 pages)
http://www.vba.va.gov/pubs/forms/21-534.pdf
VA Form 21-535 and SSA 24 Application for Dependency and Indemnity
Compensation by Parent(s) (Including SSA Form 24 Application for Death
Compensation, 8 pages)
http://www.vba.va.gov/pubs/forms/21-534.pdf
VA Form 21-4142 Authorization And Consent To Release Information To The
Department of Veterans Affairs (VA) (2 pages)
http://www.vba.va.gov/pubs/forms/21-534.pdf
53
VA Form 22-5490 Application For Survivors' and Dependents' Educational Assistance
(6 pages)
http://www.vba.va.gov/pubs/forms/22-5490.pdf
VA Form 29-4125 Claim For One Sum Payment (1 page)
http://www.vba.va.gov/pubs/forms/29-4125.pdf
VA Form 40-1330 Application for Standard Government Headstone or Marker
http://www.cem.va.gov/pdf/401330.pdf
54
CASUALTY ASSISTANCE OFFICER BRIEFING CHECKLIST
1. Prior to initial contact:
a.
b.
c.
d.
Review circumstances surrounding casualty incident.
Talk with casualty notifier.
Review Chapter 6, AR 600-8-1.
Review Casualty Assistance Officer Guide.
2. CAO Initial Contact with PNOK:
a. Uniform.
b. Telephone PNOK within 24 hours to schedule visit.
c. Visit should be brief to complete following actions:
(1) Confirm 45 day address.
(2) Advise on status of remains.
(3) Explain death gratuity entitlement.
(4) Provide copy of DA Pam 608-4 (AD) / 600-5 (Retired).
(5) Disposition of remains instructions to PADD.
(6) Discuss benefits if asked by the PNOK.
(7) Provide PNOK a DA Form 5516.
d. Record actions completed on DA Form 2204-R (Casualty Assistance Report).
3. CAO second visit with PNOK:
a. Limit business to the following:
(1) Death gratuity.
(2) Completion of DA Form 7302-R - (PADD only)
(3) Preparation for funeral.
(4) Answering other specific questions.
b. Advise PADD on Government Entitlements.
(1) Preparation and disposition of remains.
(2) Reimbursements for incidental burial expenses.
c. Advise PADD on available National Cemeteries.
d. PADD degree of involvement in funeral arrangements.
4. Awaiting arrival of remains:
a. Visit PNOK regularly to discuss matters.
b. Make preliminary funeral plans.
(1) OIC/NCOIC for military honors.
(2) Coordinate chaplain support.
(3) Establish transportation needs.
c. Contact funeral director daily on remains arrival.
d. Meet NOK to establish tentative funeral date.
e. Finalize funeral arrangements with the PADD after arrival of the remains.
55
5. Meeting the remains/escort:
a. Funeral Director/CAO meet remains.
b. CAO escorts NOK to funeral home when the Funeral Director is ready.
c. Ensure funeral director or escort has flag(s) for presentation at funeral services.
d. Ensure flag and flag case are available for presentation.
6. Funeral Requirements:
a. Military or civilian.
b. Full military honors or simple honors.
c. Military chaplain or civilian clergy.
d. CAO attends funeral as representative of the Secretary of the Army.
e. Review with the PADD prior to the funeral, the sequence of events at the funeral.
f. Fulfill PADD funeral desires if possible.
g. Check Burial Detail and monitor its performance.
h. Coordinate with funeral detail/funeral director on position of firing squad and bugler
as well as presentation of the flag and flag case.
i. Presentation of Lapel Buttons.
7. Visits after the funeral:
a. Schedule visit with NOK two days after funeral.
b. Encourage NOK to review DA Pam 608-4 and DA Pam 600-5.
c. Present information on benefits and entitlements.
d. Assist NOK in filing for benefits and entitlements.
e. Assist NOK in obtaining new ID Card.
f. Escort NOK to VA and Social Security Administration.
g. If NOK desires, assist in preparing correspondence to request reports of
investigation.
8. Conclusion:
a. CAO duties are completed when applications are submitted, however, the CAO has
a moral obligation to ensure benefits are received.
b. Although CAO actions are complete, before departure, ensure the PNOK is
furnished complete telephone numbers for the CAC and knows where to go for
assistance should further service be required.
c. Completed INTERIM or FINAL report, DA Form 2204-R will be returned upon
completion, but no later than 120 days after assistance begins.
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9. Performing Duties as a CAO for the NOK of Missing, Detained, Beleaguered,
Besieged, or Captured Personnel.
a. Review Section IV and V, Chapter 6, AR600-8-1. (Furnish the CAO a copy)
b. At the earliest opportunity, review the insert “Responding to the Media”.
c. Provide/arrange for the CAO to pick-up 2 cellular telephones.
d. Provide/arrange for the CAO, to pick-up a laptop computer equiped with a modem.
e. Provide extra copies of “Entitlement to Pay and Allowances While in a Missing
Status”.
f. Instruct the CAO to maintain log of duties performed on DA Form 1594. (Provide
extra copies of DA Form 1594)
___________________________
CAO Signature
__________________________
Briefer Signature
___________________________
Date
__________________________
Date
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